we've known and have seen people can eliminate cero infections in intensive care units month after month after month. 100% compliance with evidence guidelines and preventative care and again, we are looking at outcomes, not did you do the test -- did you do the test for diabetes because the blood sugar level under control so a true outcome measure. what did these look like? i'm not going to go through them specifically but you can see they encompass a range of diagnoses, illness at the end patient side, cardiac care and pneumonia care, broad search pleasures, infections, safety, complications, experience, and then on the outpatient side, a whole range of diagnosis. we are convinced after spending time with physicians and hospital leaders and commissions for example the outpatient basis every practice were to perform at the highest level in the contract in these areas, they would have built the infrastructure to deal especially with chronic illness which in our plan 5% account for 50% of the spending and we know that's part of the solution to affordability. so who is working with us? it's